Adult Counseling and Advocacy Services Survey

Thank you for your help! Your answers to these questions will help our program understand and improve the services we provide. We do not ask for your name. Your answers are confidential and very important to us. Please respond honestly.

Choosing not to complete this survey will in no way affect your ability to receive services from AADA.

Required items are marked with a red *
  • As a result from the peer counseling and /or advocacy services I received from AADA:
  • If a staff member assisted you in filling out/filing a protection order:
  • If a staff member assisted you with providing court advocacy
  • Overall:
  • Department of Health and Human Services Domestic Violence
    Program/Alliance Against Domestic Abuse CLIENT SURVEY

    Thank you for your help in completing this survey. Although doing this is voluntary, your answer to these questions will help us and other domestic violence programs improve our services. Please answer honestly and on your own - there are no right or wrong answers. Your answers are anonymous and very important to us.

    1. Is this your first time completing a survey for services at the Alliance Against Domestic Abuse?

    Yes - please continue to the questions below
    No - Please see a staff person to see if enough time has passed since your lasy survey
    I'm Not Sure - Please see a staff person and let them know. They'll help you decide whether or not to continue.